Gut Microbiota and Autism: Key Concepts and Findings.
Gut and mouth microbes are different in kids with ASD, giving doctors new clues but giving BCBAs no new teaching programs—yet.
01Research in Context
What this study did
Ding et al. (2017) wrote a story-style review. They pulled together papers that compared gut bacteria in kids with autism and kids without.
They looked for patterns. They asked if certain bugs, toxins, or body chemicals repeat across studies. No new lab work was done.
What they found
Kids with ASD often carry more Clostridium and Sutterella bacteria. Control kids usually have more helpful bugs like Bifidobacterium.
The review lists four ways these shifts might hurt the brain: toxin release, odd fermentation, immune over-drive, and wonky metabolism.
The paper stops there. It gives zero treatment plans and zero behavior advice.
How this fits with other research
Zou et al. (2021) went beyond bacteria. They found the fungal half of the gut is also off in ASD—more yeast, less mold. This extends the 2017 picture by showing the problem is bigger than just bacteria.
Eggleston et al. (2018) moved the search to saliva. Mouth microbe ratios alone sorted ASD from typical kids with about 80 % accuracy. Together with T et al., the data now say both ends of the GI tract carry ASD signals.
Baker et al. (2025) later wrapped the whole idea in a stricter systematic review. Their stricter method keeps the gut-biomarker story alive but warns the tools are still too early for clinic use. No clash—just stricter standards.
Why it matters
You now have a second data stream. If a learner has GI pain plus sudden behavior spikes, you can flag the medical team and ask about stool or saliva testing. The tests will not guide your ABA program yet, but they can speed medical care and reduce pain that masks learning progress.
Want CEUs on This Topic?
The ABA Clubhouse has 60+ free CEUs — live every Wednesday. Ethics, supervision & clinical topics.
Join Free →Track GI symptoms and behavior bursts on the same ABC chart, then share the pattern with the child’s pediatrician.
02At a glance
03Original abstract
There is an emerging body of evidence linking the intestinal microbiota with autism spectrum disorders (ASD). Studies have demonstrated differences in the composition of gut bacteria between children with ASD and controls. Certain intestinal bacteria have been observed in abundance and may be involved in the pathogenesis of ASD; including members of the Clostridium and Sutterella genus. Evidence from animal models suggest that certain microbial shifts in the gut may produce changes consistent with the clinical picture of autism, with proposed mechanisms including toxin production, aberrations in fermentation processes/products, and immunological and metabolic abnormalities. In this article, we review studies examining the relationship between intestinal bacteria and ASD, and discuss bacterial species that may be implicated and proposed mechanisms.
Journal of autism and developmental disorders, 2017 · doi:10.1007/s10803-016-2960-9